Staphylococcal Enterotoxin B Toxic Shock Syndrome Induced by Community-acquired Methicillin-resistant Staphylococcus aureus (CA-MRSA)

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概要

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• We herein report a case of toxic shock syndrome (TSS) associated with the 2009 pandemic H1N1 (pH1N1) influenza virus and a community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infection in a 16-year-old Vietnamese girl. Staphylococcal enterotoxin B (SEB) was detected in the patient's serum, and the level of anti-SEB antibodies was found to be elevated. A flow cytometric analysis showed evidence of activated SEB-reactive Vβ3+ and Vβ12+ T cells. These data suggest that the CA-MRSA-induced activation of SEB-reactive T cells may cause TSS in patients with pH1N1 virus infection. Moreover, this is the first report describing immunological confirmation of SEB contributing directly to TSS in a patient fulfilling the diagnostic criteria of TSS.

著者

• Takeda Shinhiro

  Division Of Coronary Care Unit Nippon Medical School

• Kikuchi Ken

  Department Of Infection Control Science Faculty Of Medicine Juntendo University

• Yagi Junji

  Department Of Microbiology And Immunology School Of Medicine Tokyo Women's Medical University

• Kato Hidehito

  Department Of Immunology Tokyo Women's Medical University

• Tanaka Keiji

  Division Of Cardiology Department Of Internal Medicine Nippon Medical School

• Usuki Jiro

  Internal Medicine, Department of Pulmonary Medicine/Infection and Oncology, Nippon Medical School, Japan

• Kato Hidehito

  Department of Microbiology and Immunology, Tokyo Women's Medical University School of Medicine, Japan

• Takeda Shinhiro

  Division of Intensive Care Unit and Coronary Care Unit, Nippon Medical School, Japan

• Azuma Arata

  Internal Medicine, Department of Pulmonary Medicine/Infection and Oncology, Nippon Medical School, Japan

• Hayashi Hiroki

  Interdisciplinary Faculty of Science and Engineering, Shimane University

• Morimoto Taisuke

  Internal Medicine, Department of Pulmonary Medicine/Infection and Oncology, Nippon Medical School, Japan

• Kashiwada Takeru

  Internal Medicine, Department of Pulmonary Medicine/Infection and Oncology, Nippon Medical School, Japan

• Abe Shinji

  Internal Medicine, Department of Pulmonary Medicine/Infection and Oncology, Nippon Medical School, Japan

• Kamio Koichiro

  Internal Medicine, Department of Pulmonary Medicine/Infection and Oncology, Nippon Medical School, Japan

• Gemma Akihiko

  Internal Medicine, Department of Pulmonary Medicine/Infection and Oncology, Nippon Medical School, Japan

• Kikuchi Ken

  Department of Infection Control Science, Faculty of Medicine, Juntendo University, Japan

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